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KIMANI FITZGERALD
NPI 1740011154
Nurse Practitioner - Family in East Peoria, IL

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
1000 CENTENNIAL DR, EAST PEORIA, IL 61611(309) 324-0880 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimani Fitzgerald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMANI FITZGERALD (NPI 1740011154) is an individual family provider in East Peoria, Illinois, licensed in Illinois (209.029516) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740011154
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKIMANI FITZGERALD
Location Address1000 CENTENNIAL DREast Peoria, IL 61611-4916
Mailing Address6224 N Talisman TerPeoria, IL 61615-2749 · (309) 231-3184
Phone(309) 324-0880
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1740011154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.029516
1000 CENTENNIAL DR, East Peoria, IL 61611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimani Fitzgerald is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729527122
PECOS Enrollment IDI20240829002004
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIPS INVESTMENTS, LLC - EAST PEORIA OPERATION SERIES
Assisted Living Facility
1000 CENTENNIAL DR
EAST PEORIA, IL 61611
Tazewell County (309) 324-0880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimani Fitzgerald's NPI number?

The NPI number for Kimani Fitzgerald is 1740011154. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Kimani Fitzgerald located?

Kimani Fitzgerald practices at 1000 Centennial Dr, East Peoria, IL 61611. The listed phone number is (309) 324-0880.

What is Kimani Fitzgerald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimani Fitzgerald enrolled in Medicare?

Yes. Kimani Fitzgerald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kimani Fitzgerald affiliated with any hospitals?

According to CMS data, Kimani Fitzgerald is affiliated with Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Kimani Fitzgerald was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.